HomeMy WebLinkAboutBldg Permit 05-0663
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siltIl at bottom)
ADDRESS
.,.
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Date Rec' d
White File I PERMI N /j / / ':R
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LEGAL DESCRIPTION (office use only)
LOTl_?BLOCK (~DDITIONWd~~ 1~-c:A
OWNER
(Name)
lkcJ' ~Q ;J
~./~-;v
(Address)
BUILDER -r-' J
(Company Name) lA/ ~ 5' / t/1 ~_/'-" /
(Contact Name) /?1 ~ ~ -t' L/t/
(Address) q 70.::/ /~ ~ AJ/t" ~
(Phone)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch [)(tRooting
OAddition OAlteration OUtility Connel'flon '"
o Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
I
E
III IV
H I
2 3
V
M
4
II
F
I
A
R
5
A
B
ZONING (office use)
PID dL/%- /? /;;Z
, -
447- 6795
7~-g-5~/-0369
ORe-Siding OLower Level Finish
o Fireplace
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby certifY that I have furnished mformation on this appIi at n which is to the best of my knowledge true and correct. I also certifY that I am the owner or authof!zed agent for the
above-mentIOned prop'rty and that II c~~st~.ucon will con r. to all existing state and local laws and W.ill pro.ceed in accordance with submillcd plans. I am aware that the buildmg
:liciaI can revoke . permIt for t cauft,,-hcrmore, y agree that the CIty official or ;;n;; e/t; u;n;e ,DiY to perform necde~'Z;~ 5'
, Signature - Contractor's License No. D~te
Permit Valuation ;:J,'5w-
Permit Fee $ 7Q,7.5"'
Plan Check Fee $
......-
State Surcharge $ j- :J 6 I
Penalty $ I
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
l:3uildll1g Ofticial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
TJ(o. .----
""'7 -I C} -~
# $
# $
$
$
# $
# $
$
$
$ 710.-
Receipt No. yCJ/J;J3
By d~
ThIS IS to certify that thc requcst in the above applicatIOn and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThiS document I
whcn signed by the City Planner conSlltlllCS a temporary Certificate of ZOning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
ADDRESS
/6 Y.2?
DATE TIME
SCHEDULED ~~~J~
~-/~ev ~~
, OF PRIOR LAKE
.4SPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO. 6. )~~ ce?.S'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~;:Or
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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r~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~/
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI